Dark Circles

Christopher L. Hess, MD answers: Arcus marginalis release, Fat Grafting permanent under eye solution?

Is arcus marginalis release in Blepharoplasty, and Fat grafting a permanent solution to correct dark circles and hollowness under the eyes? With this procedure, do I need to do fat grafting a few times a year after the original procedure? Thanks.


Christopher L. Hess, MD
6 months ago
By Christopher L. Hess, MD - Fairfax Plastic Surgeon

I hate to be the bearer of bad news but fat grafting may not help.  The dark circles are caused, mainly, by the visibility of blood vessels through thin skin.  However,  cheek descent in conjunction with lower lid fat pseudoherniation can lead to light reflective changes that worsen the appearance.  I prefer arcus release with fat redraping.  This reduces the pseudoheriation and corrects the rim/tear trough deformity.  I really don't know about fat grafting the lower lid.  You may also need midface elevation to fully correct the deformity.

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